Southeastern Pathology, P.C.
NPI 1508848300ActiveOrganization· Pathology, Anatomic Pathology & Clinical Pathology· Rome, GA
Pathology, Anatomic Pathology & Clinical Pathology in Rome, Georgia, registered in NPPES in November 2005. The authorized official on file is Tina G. Burkhalter, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1508848300 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2005 |
| Last updated in NPPES | Oct 19, 2026 |
| Certified by provider | Oct 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | 11D0256839 | GA |
| Pathology, Cytopathology | 207ZC0500X | 11D0256839 | GA |
| Pathology, Dermatopathology | 207ZD0900X | 11D0256839 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (GA) |
|---|
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